Organization
AMOSSON CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY AMOSSON (PRESIDENT)
(319) 236-2737
Entity
Organization
Contact information
Practice address
3510 KIMBALL AVE, STE. B, WATERLOO, IA 50702-5760
(319) 236-2737
Mailing address
3510 KIMBALL AVE, STE. B, WATERLOO, IA 50702-5760
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06072
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1165753
—
IA
Enumeration date
09/11/2012
Last updated
09/11/2012
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